MICHIGAN SPINE AND PAIN
NPI 1487796504
Specialist in West Bloomfield, MI

NPI Status: Active since February 13, 2007

Contact Information

6079 W. MAPLE RD.
STE. 100B
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (989) 772-1609
Fax: (989) 773-6279

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  • Organization
  • Specialist
  • Accepts Insurance

About MICHIGAN SPINE AND PAIN

This page provides the complete NPI Profile along with additional information for Michigan Spine And Pain, a provider established in West Bloomfield, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1487796504 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X with license number MB064477 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. Michigan Spine And Pain operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Michigan Spine And Pain. The authorized official of this NPI record is Mrs. Marvin N. Bleiberg Md (President/owner)

NPI
1487796504
Provider Legal Name
MEDICAL REHABILITATION PHYSICIANS PLC
Other Organization Name
MICHIGAN SPINE AND PAIN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6079 W. MAPLE RD. STE. 100B WEST BLOOMFIELD, MI 48322
Location Phone
(989) 772-1609
Location Fax
(989) 773-6279
Mailing Address
2935 HEALTH PARKWAY MT PLEASANT, MI 48858
Mailing Phone
(989) 772-1609
Mailing Fax
(989) 773-6279
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2007
Last Update Date
10-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MB064477
License State
MI
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

CC087757 (MI)
2111NR0400XChiropractic Providers

Chiropractor
Rehabilitation

MB009073 (MI)
3332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

MB064477 (MI)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Metro Detroit HMO Bronze Extra - HMO
  • Blue Cross� Metro Detroit HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARVIN N. BLEIBERG MD

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(989) 772-1609

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1487796504MEDICAID (05)MI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487796504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671491250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 9 + 1 + 2 + 5 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1487796504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487796504, enumerated as an "organization" on February 13, 2007.

The provider is located at 6079 W. MAPLE RD. STE. 100B WEST BLOOMFIELD, MI 48322 and the phone number is (989) 772-1609.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.